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Background: The patterns of benzodiazepine prescriptions in older adults are of general and scientific interest as they are not yet well understood. The aim of this study was to compare the prescription patterns of benzodiazepines in elderly people in Germany to determine the share or proportion treated by general practitioners (GP) and neuropsychiatrists (NP). Methods: This study included 31,268 and 6,603 patients between the ages of 65 and 100 with at least one benzodiazepine prescription in 2014 from GP and NP, respectively. Demographic data included age, gender, and type of health insurance coverage. The share of elderly people with benzodiazepine prescriptions was estimated in different age and disease groups for both GP and NP patients. The share of the six most commonly prescribed drugs was also calculated for each type of practice. Results: The share of people taking benzodiazepines prescribed by GP increased from 3.2% in patients aged between 65 and 69 years to 8.6% in patients aged between 90 and 100 years, whereas this share increased from 5.4% to 7.1% in those seen by NP. Benzodiazepines were frequently used by patients suffering from sleep disorders (GP: 33.9%; NP: 5.5%), depression (GP: 17.9%; NP: 29.8%), and anxiety disorders (GP: 14.5%; NP: 22.8%). Lorazepam (30.3%), oxazepam (24.7%), and bromazepam (24.3%) were the three most commonly prescribed drugs for GP patients. In contrast, lorazepam (60.4%), diazepam (14.8%), and oxazepam (11.2%) were those more frequently prescribed to NP patients. Conclusion: Prescription patterns of benzodiazepine in the elderly varied widely between GP and NP.
We study gadolinium thin films as a model system for ferromagnets with negative thermal expansion. Ultrashort laser pulses heat up the electronic subsystem and we follow the transient strain via ultrafast x-ray diffraction. In terms of a simple Grueneisen approach, the strain is decomposed into two contributions proportional to the thermal energy of spin and phonon subsystems. Our analysis reveals that upon femtosecond laser excitation, phonons and spins can be driven out of thermal equilibrium for several nanoseconds.
Substance-dependent individuals often lack the ability to adjust decisions flexibly in response to the changes in reward contingencies. Prediction errors (PEs) are thought to mediate flexible decision-making by updating the reward values associated with available actions. In this study, we explored whether the neurobiological correlates of PEs are altered in alcohol dependence. Behavioral, and functional magnetic resonance imaging (fMRI) data were simultaneously acquired from 34 abstinent alcohol-dependent patients (ADP) and 26 healthy controls (HC) during a probabilistic reward-guided decision-making task with dynamically changing reinforcement contingencies. A hierarchical Bayesian inference method was used to fit and compare learning models with different assumptions about the amount of task-related information subjects may have inferred during the experiment. Here, we observed that the best-fitting model was a modified Rescorla-Wagner type model, the “double-update” model, which assumes that subjects infer the knowledge that reward contingencies are anti-correlated, and integrate both actual and hypothetical outcomes into their decisions. Moreover, comparison of the best-fitting model's parameters showed that ADP were less sensitive to punishments compared to HC. Hence, decisions of ADP after punishments were loosely coupled with the expected reward values assigned to them. A correlation analysis between the model-generated PEs and the fMRI data revealed a reduced association between these PEs and the BOLD activity in the dorsolateral prefrontal cortex (DLPFC) of ADP. A hemispheric asymmetry was observed in the DLPFC when positive and negative PE signals were analyzed separately. The right DLPFC activity in ADP showed a reduced correlation with positive PEs. On the other hand, ADP, particularly the patients with high dependence severity, recruited the left DLPFC to a lesser extent than HC for processing negative PE signals. These results suggest that the DLPFC, which has been linked to adaptive control of action selection, may play an important role in cognitive inflexibility observed in alcohol dependence when reinforcement contingencies change. Particularly, the left DLPFC may contribute to this impaired behavioral adaptation, possibly by impeding the extinction of the actions that no longer lead to a reward.
Cities and Mental Health
(2017)
Background: More than half of the global population currently lives in cities, with an increasing trend for further urbanization. Living in cities is associated with increased population density, traffic noise and pollution, but also with better access to health care and other commodities. Methods: This review is based on a selective literature search, providing an overview of the risk factors for mental illness in urban centers. Results: Studies have shown that the risk for serious mental illness is generally higher in cities compared to rural areas. Epidemiological studies have associated growing up and living in cities with a considerably higher risk for schizophrenia. However, correlation is not causation and living in poverty can both contribute to and result from impairments associated with poor mental health. Social isolation and discrimination as well as poverty in the neighborhood contribute to the mental health burden while little is known about specific inter actions between such factors and the built environment. Conclusion: Further insights on the interaction between spatial heterogeneity of neighborhood resources and socio-ecological factors is warranted and requires interdisciplinary research.
The Acheulian site of Gesher Benot Ya‘aqov (GBY) in the Upper Jordan Valley revealed important data on environment and material culture, as well as evidence for hominin behavioural and cognitive patterns documented at the margins of the Hula Palaeo-lake. A 50 m long core (GBY#2) drilled at the archaeological site has provided a long Pleistocene geological, environmental and climatological record, which expands the existing knowledge of hominin-habitat relationships. Bracketed by two basalt flows dated by 40Ar/39Ar and based on the identification of the Matuyama-Brunhes Boundary (MBB) and correlation with the GBY excavation site, the sedimentary sequence provides the climatic history around the MBB. Multi-proxy data including pollen and non-pollen palynomorphs, macro-botanical remains, molluscs and ostracods provide evidence for lake and lake-margin environments during Marine Isotope Stages (MIS) 20 and 19. Semi-moist conditions were followed by a pronounced dry phase during MIS 20, and warm and moist conditions with Quercus-Pistacia woodlands prevailed during MIS 19. In contrast to the reconstructed climate change from relatively dry to moister conditions, the depositional environment developed from an open-water lake during MIS 20 to a lake margin environment in MIS 19. Generally shallower conditions at the core site in MIS 19 resulted from the progradation of the lake shore due to the filling of the basin. Micro-charcoal analysis suggests a likelihood of human-induced fire in some parts of the core, which can be correlated with artefact-containing layers of the GBY excavation site. The Hula Palaeo-lake region provided an ideal niche for hominins and other vertebrates during global glacial-interglacial climate fluctuations at the end of the Early Pleistocene.
One of the major challenges in understanding the evolution of our own species is identifying the role climate change has played in the evolution of hominin species. To clarify the influence of climate, we need long and continuous high-resolution paleoclimate records, preferably obtained from hominin-bearing sediments, that are well-dated by tephro- and magnetostratigraphy and other methods. This is hindered, however, by the fact that fossil-bearing outcrop sediments are often discontinuous, and subject to weathering, which may lead to oxidation and remagnetization. To obtain fresh, unweathered sediments, the Hominin Sites and Paleolakes Drilling Project (HSPDP) collected a ∼216-meter core (WTK13) in 2013 from Early Pleistocene Paleolake Lorenyang deposits in the western Turkana Basin (Kenya). Here, we present the magnetostratigraphy of the WTK13 core, providing a first age model for upcoming HSPDP paleoclimate and paleoenvrionmental studies on the core sediments. Rock magnetic analyses reveal the presence of iron sulfides carrying the remanent magnetizations. To recover polarity orientation from the near-equatorial WTK13 core drilled at 5°N, we developed and successfully applied two independent drill-core reorientation methods taking advantage of (1) the sedimentary fabric as expressed in the Anisotropy of Magnetic Susceptibility (AMS) and (2) the occurrence of a viscous component oriented in the present day field. The reoriented directions reveal a normal to reversed polarity reversal identified as the top of the Olduvai Subchron. From this excellent record, we find no evidence for the ‘Vrica Subchron’ previously reported in the area. We suggest that outcrop-based interpretations supporting the presence of the Vrica Subchron have been affected by the oxidation of iron sulfides initially present in the sediments -as evident in the core record- and by subsequent remagnetization. We discuss the implications of the observed geomagnetic record for human evolution studies.
Sedimentary basins in the interior of orogenic plateaus can provide unique insights into the early history of plateau evolution and related geodynamic processes. The northern sectors of the Iranian Plateau of the Arabia-Eurasia collision zone offer the unique possibility to study middle-late Miocene terrestrial clastic and volcaniclastic sediments that allow assessing the nascent stages of collisional plateau formation. In particular, these sedimentary archives allow investigating several debated and poorly understood issues associated with the long-term evolution of the Iranian Plateau, including the regional spatio-temporal characteristics of sedimentation and deformation and the mechanisms of plateau growth. We document that middle-late Miocene crustal shortening and thickening processes led to the growth of a basement-cored range (Takab Range Complex) in the interior of the plateau. This triggered the development of a foreland-basin (Great Pari Basin) to the east between 16.5 and 10.7Ma. By 10.7Ma, a fast progradation of conglomerates over the foreland strata occurred, most likely during a decrease in flexural subsidence triggered by rock uplift along an intraforeland basement-cored range (Mahneshan Range Complex). This was in turn followed by the final incorporation of the foreland deposits into the orogenic system and ensuing compartmentalization of the formerly contiguous foreland into several intermontane basins. Overall, our data suggest that shortening and thickening processes led to the outward and vertical growth of the northern sectors of the Iranian Plateau starting from the middle Miocene. This implies that mantle-flow processes may have had a limited contribution toward building the Iranian Plateau in NW Iran.
Located along the Izmir-Ankara-Erzincan Suture (IAES), the Maastrichtian - Paleogene Orhaniye Basin has yielded a highly enigmatic-yet poorly dated- Paleogene mammal fauna, the endemic character of which has suggested high faunal provincialism associated with paleogeographic isolation of the Anatolian landmass during the early Cenozoic. Despite its biogeographic significance, the tectono-stratigraphic history of the Orhaniye Basin has been poorly documented; Here, we combine sedimentary, magnetostratigraphic, and geochronological data to infer the chronology and depositional history of the Orhaniye Basin. We then assess how our new data and interpretations for the Orhaniye Basin impact (1) the timing and mechanisms of seaway closure along the IAES and (2) the biogeographic evolution of Anatolia. Our results show that the Orhaniye Basin initially developed as a forearc basin during the Maastrichtian, before shifting to a retroarc foreland basin setting sometime between the early Paleocene and 44 Ma. This chronology supports a two-step scenario for the assemblage of the central Anatolian landmass, with incipient collision during the Paleocene - Early Eocene and final seaway retreat along the IAES during the earliest Late Eocene after the last marine incursion into the foreland basin. Our dating for the Orhaniye mammal fauna (44-43 Ma) indicates the persistence of faunal endemism in northern Anatolia until at least the late Lutetian despite the advanced stage of IAES closure. The tectonic evolution of dispersal corridors linking northern Anatolia with adjacent parts of Eurasia was not directly associated with IAES closure and consecutive uplifts, but rather with the build-up of continental bridges on the margins of Anatolia, in the Alpine and Tibetan-Himalayan orogens.
Puumala virus (PUUV) causes many human infections in large parts of Europe and can lead to mild to moderate disease. The bank vole (Myodes glareolus) is the only reservoir of PUUV in Central Europe. A commercial PUUV rapid field test for rodents was validated for bank-vole blood samples collected in two PUUV-endemic regions in Germany (North Rhine-Westphalia and Baden-Wurttemberg). A comparison of the results of the rapid field test and standard ELISAs indicated a test efficacy of 93-95%, largely independent of the origin of the antigens used in the ELISA. In ELISAs, reactivity for the German PUUV strain was higher compared to the Swedish strain but not compared to the Finnish strain, which was used for the rapid field test. In conclusion, the use of the rapid field test can facilitate short-term estimation of PUUV seroprevalence in bank-vole populations in Germany and can aid in assessing human PUUV infection risk.
Most of the longer worldly fictional Middle High German first-person narrations are allegorical. The article discusses the reasons for this interdependence between allegory and the first-person narrative form, which is observable not only in Middle High German literature, but also in texts belonging to other European vernacular literatures of the time. In my article I develop two main thesis: The first is that the use of allegoric forms marks on the one hand a highbrow literary level and serves as a stylistic ornament of texts, which tend to present themselves mainly as author-speech. This is also the reason why in these texts the ›I‹ is often not only a narrating ›I‹, but also takes over the role of an author on the narrative level of the histoire. The other reason for this interdependence is that among all kinds of narrators, only the first-person narrator is able to cross the border between the extradiegetic and the diegetic world, in which personifications like Frau Minne, Frau Triuwe, or Frau Âventiure have the knowledge about Minne, Triuwe, and Âventiure and wait for the first-person narrator to approach and to be taught. Only he can experience the encounter with the personifications and their instruction himself and only he can pass this knowledge to the recipients as an experience he made himself.
Von sich selbst erzählen
(2017)
Innerhalb der Mediävistik ist das volkssprachige Erzählen in der ersten Person bisher weder erzähltheoretisch noch in seinem Verhältnis zu Gattungstypen hinreichend aufgearbeitet. Dabei spielt diese Erzählhaltung literarhistorisch eine außerordentlich bedeutsame Rolle sowohl für die Entwicklung der Gattung des Romans in der Frühen Neuzeit als auch für die Entwicklung der Idee des fiktionalen Erzählers. Dieser Band hat das Ziel, das Spektrum der Texte zwischen Autobiographie und Historiographie, mystischen Offenbarungstexten und Traumallegorien, Minnesang und Minnerede sichtbar werden zu lassen. Die Beiträge des Sammelbandes befragen exemplarische Texte des 6. bis 15. Jahrhunderts im Hinblick auf Phänomene des Narrativen in lyrischen Texten, die Rolle, die dem Minnesang, auch als Gegenstand von Zyklusbildungen, bei der Literarisierung und Etablierung des Ich-Erzählens zukommt, Lizenzen und Restriktionen des Erzählens von sich selbst, die Profilierung von Autorrollen, die Funktion der Erzählperspektive für die Verbürgung und Geltungsbehauptung von Wissen und für die Darstellung von Erkenntnisprozessen, die wechselseitigen Abhängigkeiten von Erfahrung und Ich- Erzählen sowie die Problematik des Begriffs des Autobiographischen.
We study triggering processes in triaxial compression experiments under a constant displacement rate on sandstone and granite samples using spatially located acoustic emission events and their focal mechanisms. We present strong evidence that event-event triggering plays an important role in the presence of large-scale or macrocopic imperfections, while such triggering is basically absent if no significant imperfections are present. In the former case, we recover all established empirical relations of aftershock seismicity including the Gutenberg-Richter relation, a modified version of the Omori-Utsu relation and the productivity relation-despite the fact that the activity is dominated by compaction-type events and triggering cascades have a swarmlike topology. For the Gutenberg-Richter relations, we find that the b value is smaller for triggered events compared to background events. Moreover, we show that triggered acoustic emission events have a focal mechanism much more similar to their associated trigger than expected by chance.
Der Autor als Schwankheld
(2017)
Background
In Europe, bank voles (Myodes glareolus) are widely distributed and can transmit Puumala virus (PUUV) to humans, which causes a mild to moderate form of haemorrhagic fever with renal syndrome, called nephropathia epidemica. Uncovering the link between host and virus dynamics can help to prevent human PUUV infections in the future. Bank voles were live trapped three times a year in 2010–2013 in three woodland plots in each of four regions in Germany. Bank vole population density was estimated and blood samples collected to detect PUUV specific antibodies.
Results
We demonstrated that fluctuation of PUUV seroprevalence is dependent not only on multi-annual but also on seasonal dynamics of rodent host abundance. Moreover, PUUV infection might affect host fitness, because seropositive individuals survived better from spring to summer than uninfected bank voles. Individual space use was independent of PUUV infections.
Conclusions
Our study provides robust estimations of relevant patterns and processes of the dynamics of PUUV and its rodent host in Central Europe, which are highly important for the future development of predictive models for human hantavirus infection risk
Vom Handeln und Schmusen
(2017)
Genisa-Blätter II
(2017)
In den acht Beiträgen der „Genisa-Blätter II“ werden Funde aus verschiedenen fränkischen Genisot vorgestellt. Sie wurden im Rahmen eines interdisziplinären Workshops im Genisaprojekt Veitshöchheim von Nachwuchswissenschaftlerinnen und -wissenschaftlern aus ganz Deutschland bearbeitet. Die edierten Quellen sowie deren Einordnung durch die Autorinnen und Autoren geben vielfältige Einblicke in die Komplexität des historischen Judentums in Franken. Der Schwerpunkt dieser Ausgabe liegt auf Text- und Textilfunden aus dem Bereich der Religion.
„Sei es Dein Wille, Herr“
(2017)
„Gelobt seist du, Ewiger!“
(2017)
‚Ma‘oz tsur jeshu‘ati‘
(2017)